VB5-26862-82571
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 489 / MI
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-04-18
Registered in v-safe
- 2021-04-18
-
2021-04-21
Dose 2 — Moderna
-
2021-04-21
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Premenstrual syndrome — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: PMSMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation normal, Unevaluable event — Feeling: Fair · HeadacheFree text: On my periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-05-05
Survey response — day 14, dose 2MedDRA: Vestibular migraine — Feeling: FairFree text: Vestibular migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: Anxiety, Depression, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Pregnancy, depression, anxietyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-21 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): PMS
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): On my period
Release 8 — day 14, dose 2
Symptoms: Vestibular migraine
Release 11 — 12 months, dose 2
Symptoms: Pregnancy, depression, anxiety
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Anxiety | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Vestibular migraine | ✓ | ✓ | ✓ |
| SRO | Menstruation normal | ✓ | ✓ | ○ |
| SRO | Premenstrual syndrome | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release